KATIE J AREY (Credential# 1231687) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KATIE J AREY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003123. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 9 Cobblestone Dr, Broad Brook, CT 06016-1200. The current status is active.
Licensee Name | KATIE J AREY |
Credential ID | 1231687 |
Credential Number | 23.003123 |
Credential Type | Physician Assistant |
Business Address |
9 Cobblestone Dr Broad Brook CT 06016-1200 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-07-03 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1357442 | CSP.0062902 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 9 COBBLESTONE DR |
City | BROAD BROOK |
State | CT |
Zip Code | 06016-1200 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steve R Smith | 7 Cobblestone Dr, Broad Brook, CT 06016-1200 | Emergency Medical Responder | 2020-01-17 ~ 2022-12-31 |
Shannon E Hutchinson | 1 Cobblestone Dr, Broad Brook, CT 06016-1200 | Massage Therapist | 2019-06-01 ~ 2021-05-31 |
Keenan Smith | 7 Cobblestone Dr, Broad Brook, CT 06016-1200 | Emergency Medical Technician | 2019-04-16 ~ 2022-03-31 |
Michelle R Fournier | 4 Cobblestone Dr, Broad Brook, CT 06016-1200 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew T Moore | 67 Middle Road, Broad Brook, CT 06016 | Emergency Medical Technician | 2018-08-02 ~ 2020-03-31 |
Dallas W Hosmer | N24 Mill Pond Drive, Broad Brook, CT 06016 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2020-08-31 |
Cathryn E Carroll | 127 East Road, Broad Brook, CT 06016 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jonathan E Marino · J M Affordable Landscaping | 319 Canyon Ridge Drive, Broad Brook, CT 06016 | Home Improvement Contractor | 2018-09-04 ~ 2019-11-30 |
Heather Allison Kun | 2 Jessie Ln, Broad Brook, CT 06016 | Registered Nurse | ~ |
Anna J Mangiafico · Kement | 35 Sullivan Farm Road, Broad Brook, CT 06016 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Melissa V La Belle | 17 C Folkstone Road, Broad Brook, CT 06016 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
Andrea Kopec | 406 Canyon Ridge Drive, Broad Brook, CT 06016 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Stephen C Quesnel | 16 Maple Avenue (po Box 349), Broad Brook, CT 06016 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Sophie Carter | 41 Skinner Road, Broad Brook, CT 06016 | Real Estate Salesperson | ~ |
Find all Licenses in zip 06016 |
City | BROAD BROOK |
Zip Code | 06016 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + BROAD BROOK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katie S Kwok Pa-c | 177 Judson Rd, Fairfield, CT 06824 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Katie L Merithew | 10 Phelps Dr, Hamden, CT 06514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Katie Lynn Anderson | 15 Wiemes Ct, Waterford, CT 06385 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Katie M Roach | 3 David Drive, Simsbury, CT 06070 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Katie A Coppola | 288 Haddam Quarter Rd, Durham, CT 06422-1618 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Katie Lynn Tichenor | 2 Ross Passway, Morris, CT 06763-1300 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
Arey Home Improvement LLC | 228 Carriage Way, Windsor, CT 06095-2009 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
Katie S Barrette | 262 Aldbourne Dr, Bristol, CT 06010-2396 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Katie E Tanguay | 15 Wooding St, Bristol, CT 06010-4314 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).